| NPI | 1558018481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS PRINCE Director 757-983-5475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133NN1002X Nutritionist Nutrition, Education | |
| 163WD0400X Registered Nurse Diabetes Educator | |
| 163WM1400X Registered Nurse Nurse Massage Therapist (NMT) | |
| 171100000X Acupuncturist | |
| 174400000X Specialist | |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2022-03-10 |